A high level of scientific evidence is available to guide treatment of primary shoulder stiffness: The SIAGASCOT consensus.

Autor: Cucchi D; Department of Orthopaedics and Trauma Surgery, University of Bonn, Bonn, Germany.; SIAGASCOT 'Basic Science' Committee, Rome, Italy.; SIAGASCOT 'Guidelines' Work-group, Rome, Italy., Di Giacomo G; Concordia Hospital Roma, Rome, Italy., Compagnoni R; SIAGASCOT 'Guidelines' Work-group, Rome, Italy.; U.O.C. 1° Clinica Ortopedica, ASST G. Pini-CTO, Milan, Italy., Castricini R; SIAGASCOT 'Shoulder' Committee, Rome, Italy.; Casa di Cura Villa Verde, Fermo, Italy., Formigoni C; SIAGASCOT 'Guidelines' Work-group, Rome, Italy.; GIDIF-RBM - Italian Group of Information Specialist from Pharmaceutical Company and Biomedical Research Institutes, Milan, Italy., Radici M; U.O.C. 1° Clinica Ortopedica, ASST G. Pini-CTO, Milan, Italy., Melis B; SIAGASCOT 'Shoulder' Committee, Rome, Italy.; Unità di Ortopedia e traumatologia dello sport, Casa di cura 'Policlinico Città di Quartu', Quartu Sant'Elena, Italy., Brindisino F; Department of Medicine and Health Science 'Vincenzo Tiberio', University of Molise c/o Cardarelli Hospital, C/da Tappino, Campobasso, Italy., De Giorgi S; SIAGASCOT 'Basic Science' Committee, Rome, Italy.; Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari, Bari, Italy., De Vita A; Concordia Hospital Roma, Rome, Italy.; SIAGASCOT 'Shoulder' Committee, Rome, Italy., Lisai A; SIAGASCOT 'Shoulder' Committee, Rome, Italy.; Unità Funzionale Chirurgia della Spalla, Humanitas San Pio X, Milan, Italy., Mangiavini L; SIAGASCOT 'Basic Science' Committee, Rome, Italy.; IRCCS Istituto Ortopedico Galeazzi-Sant'Ambrogio, Milan, Italy.; Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy., Candela V; SIAGASCOT 'Shoulder' Committee, Rome, Italy.; Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.; Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Rome, Italy., Carrozzo A; SIAGASCOT 'Guidelines' Work-group, Rome, Italy.; Department of Orthopaedic Surgery and Traumatology, AOU Sant'Andrea, La Sapienza University of Rome, Rome, Italy., Pannone A; SIAGASCOT 'Shoulder' Committee, Rome, Italy.; Policlinico 'Città di Udine', Udine, Italy., Menon A; SIAGASCOT 'Basic Science' Committee, Rome, Italy.; U.O.C. 1° Clinica Ortopedica, ASST G. Pini-CTO, Milan, Italy.; Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy.; Scuola di Specializzazione in Statistica Sanitaria e Biometria, Dipartimento di Scienze Cliniche e di Comunità, Università degli Studi di Milano, Milan, Italy., Giudici LD; SIAGASCOT 'Shoulder' Committee, Rome, Italy.; Casa di Cura 'Villa dei Pini', Civitanova Marche, Italy., Klumpp R; SIAGASCOT 'Guidelines' Work-group, Rome, Italy.; Department of Orthopaedics and Trauma Surgery, ASST Bergamo Ovest, Treviglio, Italy., Padua R; Unicamillus Rome, RomaPro Roma, Roma, Italy., Carnevale A; SIAGASCOT 'Guidelines' Work-group, Rome, Italy.; Fondazione Policlinico Universitario Campus Bio-Medico, Roma, Italy., Rosa F; SIAGASCOT 'Guidelines' Work-group, Rome, Italy.; Humanitas Clinical and Research Center -IRCCS, Rozzano, Italy., Marmotti A; SIAGASCOT 'Basic Science' Committee, Rome, Italy.; Department of Orthopaedics and Traumatology, University of Torino, Turin, Italy., Peretti GM; IRCCS Istituto Ortopedico Galeazzi-Sant'Ambrogio, Milan, Italy.; Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy., Berruto M; U.O.C. 1° Clinica Ortopedica, ASST G. Pini-CTO, Milan, Italy., Milano G; Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.; ASST Spedali Civili, UOC Clinica Ortopedica, Brescia, Italy., Randelli P; U.O.C. 1° Clinica Ortopedica, ASST G. Pini-CTO, Milan, Italy.; Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy.; Research Center for Adult and Pediatric Rheumatic Diseases (RECAP-RD), Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy., Bonaspetti G; Department of Orthopaedics and Traumatology, Clinica S. Anna, Brescia, Italy., De Girolamo L; SIAGASCOT 'Basic Science' Committee, Rome, Italy.; IRCCS Istituto Ortopedico Galeazzi-Sant'Ambrogio, Milan, Italy.; Laboratorio di Biotecnologie applicate all'Ortopedia, Milan, Italy.
Jazyk: angličtina
Zdroj: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2024 Jan; Vol. 32 (1), pp. 37-46. Date of Electronic Publication: 2024 Jan 11.
DOI: 10.1002/ksa.12017
Abstrakt: Purpose: Shoulder stiffness (SS) is a condition characterised by active and passive restricted glenohumeral range of motion, which can occur spontaneously in an idiopathic manner or be associated with a known underlying aetiology. Several treatment options are available and currently no consensus has been obtained on which treatment algorithm represents the best choice for the patient. Herein we present the results of a national consensus on the treatment of primary SS.
Methods: The project followed the modified Delphi consensus process, involving a steering, a rating and a peer-review group. Sixteen questions were generated and subsequently answered by the steering group after a thorough literature search. A rating group composed by professionals specialised in the diagnosis and treatment of shoulder pathologies rated the question-answer sets according to the scientific evidence and their clinical experience.
Results: Recommendations were rated with an average of 8.4 points out of maximum 9 points. None of the 16 answers received a rating of less than 8 and all the answers were considered as appropriate. The majority of responses were assessed as Grade A, signifying a substantial availability of scientific evidence to guide treatment and support recommendations encompassing diagnostics, physiotherapy, electrophysical agents, oral and injective medical therapies, as well as surgical interventions for primary SS.
Conclusions: A consensus regarding the conservative and surgical treatment of primary SS could be achieved at a national level. This consensus sets basis for evidence-based clinical practice in the management of primary SS and can serve as a model for similar initiatives and adaptable guidelines in other European countries and potentially on a global scale.
Level of Evidence: Level I.
(© 2024 The Authors. Knee Surgery, Sports Traumatology, Arthroscopy published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.)
Databáze: MEDLINE
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